FATORES QUE AFETAM A QUALIDADE DE VIDA DE CRIANÇAS E ADOLESCENTES PORTADORES DE DIABETES MELLITUS TIPO 1: UMA REVISÃO INTEGRATIVA

Diabetes Mellitus type 1 (DM1) is a metabolic, autoimmune disease defined by blood hyperglycemia considered an organ-specific pathology characterized by the attack of antibodies in an autoimmune process causing selective destruction of pancreatic cells. DM1 is one of the most common chronic diseases in childhood, corresponding to about 5% to 10% of diabetes cases. The present article aims to identify the factors that affect the daily life of patients with T1DM. This is an integrative literature review conducted in the following databases: Latin American and Caribbean Literature on Health Sciences (LILACS), National Library of Medicine of the United States of America (MEDLINE), and the Virtual Health Library (VHL). The search was conducted between 2010 and 2020, from the crossing of the following descriptors: "Type 1 Diabetes Mellitus", "Quality of Life", "Adolescent" and "Child". A total of 162 articles were found, and after applying the inclusion criteria, 15 were excluded for duplicity, 141 for not answering the guiding question, 02 excluded because it was an integrative review, and 05 were included in the final analysis. The articles evaluated showed that Quality of Life is a factor primarily affected by the lack of glycemic control that can cause serious consequences to the DM1 carrier, causing complications such as: Ketoacidosis that can lead to hospitalization, increasing the chances of death and chronic complications that can cause renal and visual impairment.INTRODUCCIÓN: La diabetes mellitus tipo 1 (DM1) es una enfermedad metabólica, autoinmune definida por hiperglucemia sanguínea, considerada una patología específica de órganos caracterizada por el ataque de anticuerpos en el proceso autoinmune causando la destrucción selectiva de los votos pancreáticos. La DM1 es una de las enfermedades crónicas más comunes en la infancia que corresponde a alrededor del 5% al 10% de los casos de diabetes. OBJETIVO: Identificar en los archivos científicos publicaciones sobre cómo la DM 1 puede interferir en diversos aspectos de la vida de los pacientes. METODOLOGÍA: Se trata de una revisión integradora de la literatura realizada en las bases de datos: Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Biblioteca Nacional de Medicina de los Estados Unidos de América (MEDLINE), Biblioteca Virtual Científica Electrónica en Línea (SCIELO) y Google Scholar para fortalecer los resultados. La investigación se realizó a partir del cruce de los siguientes descriptores: "Diabetes Mellitus tipo 1", "Calidad de Vida", "Adolescente" e "Infantil". RESULTADOS: Se identificaron 162 artículos tras la aplicación de los criterios de inclusión, 15 fueron excluidos por duplicidad, 141 por no responder a la pregunta guía, 02 excluidos por tratarse de una revisión integradora y para fortalecer los resultados con mayor robustez, se utilizó Google Scholar, identificando 02 artículos más que cumplieron con el objeto del estudio tras la exclusión del título, con 06 artículos como muestra final. CONCLUSIÓN: Los principales factores relacionados con la calidad de vida de los pacientes con DM1.Diabetes Mellitus tipo 1 (DM1) é uma doença metabólica, autoimune definida pela hiperglicemia sanguínea considerada uma patologia órgão-específica caracterizada pelo ataque de anticorpos em processo autoimune causando destruição seletiva das células pancreáticas. A DM1 é uma das doenças crônicas mais comuns na infância que corresponde acerca de 5% a 10% dos casos de diabetes. O presente artigo tem como objetivo identificar os fatores que afetam o cotidiano dos pacientes com DM1. Trata-se de uma revisão integrativa de literatura realizada nas bases de dados: Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS), Biblioteca Nacional de Medicina dos Estados Unidos da América (MEDLINE), e na Biblioteca Virtual em Saúde (BVS). A pesquisa foi realizada no período de 2010 a 2020, a partir do cruzamento dos seguintes descritores: “Diabetes Mellitus tipo 1”, “Qualidade de Vida”, “Adolescente” e “Infantil”. Foram encontrados 162 artigos, após a aplicação dos critérios de inclusão, 15 foram excluídos por duplicidade, 141 por não responder à pergunta norteadora, 02 excluídos por se tratar de revisão integrativa e 05 foram incluídas na análise final. Os artigos avaliados demonstram que a Qualidade de Vida é um fator primordialmente afetado com o descontrole glicêmico que pode ocasionar sérias consequências ao portador do DM1, causando complicações como: Cetoacidose que pode levar à hospitalização aumentando as chances de óbito e as complicações crônicas que podem causar comprometimento renal e visual

Is the prevalence of asthma and related symptoms among Brazilian children related to socioeconomic status?

Objective. To evaluate the relationship between socioeconomic status (SES) and the prevalence of asthma and related symptoms among Brazilian children. Methods. The International Study of Asthma and Allergies in Childhood (ISAAC) written questionnaire was applied to 23,457 six- to seven- year-old schoolchildren (SC) and 58,144 thirteen- to fourteen-year-old adolescents (AD) from 20 Brazilian cities. SES was evaluated by infant mortality index, poverty index, and average nominal income for people older than 10 years of age. Results. Current asthma ranged from 16.5% to 31.2% among SC and from 11.8% to 30.5% among AD and severe asthma from 2.9% to 8.5% (SC) and 2.6% to 9.1% (AD). Higher values were observed in Brazilian-Northern, -Northeastern and -Southeastern centers. No significant association between SES and prevalence of asthma and related symptoms was observed. Conclusions. In Brazil, the prevalence of asthma and related symptoms is quite variable and independent of SES. Copyright © 2008 Informa Healthcare USA, Inc

Prevalence of rhinitis among Brazilian schoolchildren: ISAAC phase 3 results

Objective: The International Study of Asthma and Allergies in Childhood (ISAAC) is a standardized method that allows international and regional comparisons of asthma and allergic diseases prevalence. The objective of this study was to evaluate the prevalence of rhinitis and related symptoms among 6-7 year-old children (SC) and 13-14 year-old adolescents (AD) from 20 Brazilian cities applying the ISAA C's standardized written questionnaire (WQ). Methods: ISAAC's WQ was applied to 23,422 SC and 58,144 AD living in different regions of Brazil: North (N), Northeast (NE), Middle West (MW), Southeast (SE), and South (S). Results: The prevalence of rhinoconjunctivitis in the last year ranged from 10.3% to 17.4% and from 8.9% to 28.5% among SC and AD, respectively. Considering SC the highest values were observed in SE region. In NE, the prevalence in countryside centres was higher than those along the coast. Among AD, the highest values were observed in N and S regions, mainly in Pará (Belém). The evaluation of populations probably with the same genetic background has shown higher prevalence among those living in urban centres (capital) in comparison to those in the countryside. Conclusions: The prevalence of rhinitis and related symptoms were variable and predominate in Brazilian N and NE centres